Diagnosis and management of cellulitis
@article{Phoenix2012DiagnosisAM, title={Diagnosis and management of cellulitis}, author={Gokulan Phoenix and Saroj Kumar Das and Meera Joshi}, journal={BMJ : British Medical Journal}, year={2012}, volume={345} }
#### Summary points
Cellulitis is an acute, spreading, pyogenic inflammation of the lower dermis and associated subcutaneous tissue. [] Key Method#### Sources and selection criteria
We searched PubMed and the Cochrane library for recent and clinically relevant cohort studies and randomised controlled trials on cellulitis, using the search terms “cellulitis”, “erysipelas”, “diagnosis”, “investigation”, “recurrence”, “complications” and “management”.
36 Citations
Diagnosis and management of cellulitis and erysipelas.
- MedicineBritish journal of hospital medicine
- 2015
Large-scale controlled trial evidence for specific antimicrobial choices in the treatment of cellulitis and erysipelas is lacking, with national and local guidelines being based on a combination of best evidence, local epidemiology data and expert opinion.
Cellulitis: A Review.
- MedicineJAMA
- 2016
Treating predisposing factors can minimize risk of recurrence of cellulitis, and treatment of uncomplicated cellulitis should be directed against Streptococcus and methicillin-sensitive S. aureus.
A Retrospective Study: Erysipelas and Cellulitis Patients’ Profile
- Medicine, Biology
- 2016
The correct management could increase the recovery rate, prevent complication and recurrency of erysipelas and cellulitis, and determine a general overview as well as predictive factors of the severity of this acute infectious disease.
The Profile of Erysipelas and Cellulitis Patients
- Medicine
- 2015
The management of patients with erysipelas and cellulitis had been appropriate based on the diagnosis and treatment guidelines.
Diagnosis and treatment of the invasive extension of bacteria (cellulitis) from chronic wounds utilising point‐of‐care fluorescence imaging
- MedicineInternational wound journal
- 2021
The utility of point‐of‐care fluorescence imaging for efficient detection and proactive, targeted management of wound‐related cellulitis is demonstrated.
Risk factors and complications of lower limb cellulitis in Africa: a systematic review
- MedicineBMJ Open
- 2018
The identification and improved management of the risk factors and factors associated with complications of lower limb cellulitis and its complications could go a long way in decreasing the morbidity and health costs incurred by lower limbs cellulitis in Africa.
Reducing Unnecessary Testing in Uncomplicated Skin and Soft Tissue Infections: A Quality Improvement Approach.
- MedicineHospital pediatrics
- 2020
A interdisciplinary team led a quality improvement project reducing unnecessary laboratory testing in patients with an uSSTI without patient harm, achieving their aim.
Evaluation of Antibiotic Treatment on the Duration of Hospitalization of Patients with Erysipelas and Bacterial Cellulitis
- Medicine, BiologyDermatology and Therapy
- 2018
It is suggested that this combination therapy with amoxicillin + clavulanic acid should be considered as a first-line treatment for patients hospitalized due to erysipelas or bacterial cellulitis, if other factors did not preclude the use of this therapy.
Evaluation and Management of Cellulitis and its Local Complications in Diabetic Lower Limb using the New Amit Jain’s Staging System for Cellulitis – A Retrospective study -
- Medicine
- 2015
This is the first study on cellulitis in diabetic lower limb through the new Amit Jain’s staging system from Indian subcontinent, and it is shown that stage 2 is the commonest presentation to a hospital.
Retrospective Evaluation of Risk Factors and Response in Treatment among Hospitalized Patients with Lower-Extremity Cellulitis
- Medicine
- 2016
Tinea pedis and chronic lymphedema were main risk factors for multiple attacks in patients with lowerextremity cellulitis and parenteral antibiotic treatment mostly used as the single drug regimen with ampicillinsulbactam was highly effective.
References
SHOWING 1-10 OF 36 REFERENCES
Practice guidelines for the diagnosis and management of skin and soft-tissue infections.
- MedicineClinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 2005
It is the recommendation of this committee that patients with soft-tissue infection be distinguished by signs and symptoms of systemic toxicity (e.g., fever or hypothermia, tachycardia [heart rate,] and so on).
Severity assessment of skin and soft tissue infections: cohort study of management and outcomes for hospitalized patients.
- MedicineThe Journal of antimicrobial chemotherapy
- 2011
SSTI in hospital is associated with significant mortality, and choice of empirical therapy is not evidence based, with significant under-treatment of severely ill patients.
Diagnostic accuracy in patients admitted to hospitals with cellulitis.
- MedicineDermatology online journal
- 2011
The capability of this VCDDSS to assist primary care physicians with generating a more accurate differential diagnosis (DDx) when confronted with patients presenting with possible skin infections is demonstrated.
The effect of soft-tissue ultrasound on the management of cellulitis in the emergency department.
- MedicineAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine
- 2006
Soft-tissue US changes physician management in approximately half of patients in the ED with clinical cellulitis, which may guide management of cellulitis by detection of occult abscess, prevention of invasive procedures, and guidance for further imaging or consultation.
Staphylococcus aureus is the most common identified cause of cellulitis: a systematic review
- Medicine, BiologyEpidemiology and Infection
- 2009
The most common aetiology of cellulitis with intact skin, when it can be determined, is S. aureus, outnumbering group A streptococcus by a ratio of nearly 2:1.
Cost-effectiveness of blood cultures for adult patients with cellulitis.
- Medicine, BiologyClinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 1999
The yield of blood cultures is very low, has a marginal impact on clinical management, and does not appear to be cost-effective for most patients with cellulitis.
Tetracyclines as an Oral Treatment Option for Patients with Community Onset Skin and Soft Tissue Infections Caused by Methicillin-Resistant Staphylococcus aureus
- MedicineAntimicrobial Agents and Chemotherapy
- 2007
The expanded-spectrum tetracyclines appear to be a reasonable oral treatment option for patients with community onset MRSA SSTI in areas where MRSA strains are susceptible to the tetrACYclines.
Risk factors for erysipelas of the leg (cellulitis): case-control study
- MedicineBMJ
- 1999
This first case-control study highlights the major role of local risk factors (mainly lymphoedema and site of entry) in erysipelas of the leg and concludes that detecting and treating toe-web intertrigo should be evaluated in the secondary prevention of erYSipelasof the leg.
Lymphoedema and cellulitis: chicken or egg?
- MedicineThe British journal of dermatology
- 2008
It is possible that patients who present with cellulitis may have a previously undiagnosed primary lymphatic abnormality which predisposes them to developing cellulitis but which may not present as overt lymphoedema until further lymphatic damage occurs as a result of the infection.
An unusual presentation of primary cutaneous nocardiosis at a rare site: succesful treatment with a modified Welsh regimen.
- MedicineDermatology online journal
- 2011
A case of primary cutaneous nocardiosis presenting as a mycetoma on the back is described, caused by Nocardia brasiliensis, and the help of a microbiologist allowed us to isolate the causative organism.